Loading...
HomeMy WebLinkAboutnominationsCITY OF MIAMI OVERTOWN ADVISORY BOARD/OVERTOWN COMMUNITY OVERSIGHT BOARD APPLICATION FORM FOR APPOINTED YOUTH MEMBERS (TO BE COMPLETED BY RECOMMENDER AND TO BE SUBMITTED BY 4:00 P.M. ON FRIDAY, DECEMBER 1, 2006 TO THE OFFICE OF THE OVERTOWN NEIGHBORHOOD ENHANCEMENT TEAM (N.E.T.), AT 1490 N.W. 3" AVENUE.) OR THE OFFICE OF THE CITY CLERK AT 3500 PAN AMERICAN DRIVE. NOTE: A PERSON MAY RECOMMEND HIM/HERSELF.) A. I recommend Ele/./ 77 s9--)-74 S for appointment as youth member of the Overtown Advisory Board/Overtown Community Oversight Board. He/she meets the eligibility requirements because he/she is more than 14 years of age and less than 19 years of age and also meets both of the following qualifications: I. Resides in the Overtown Area at the address NA) ; and 1 Attends the accredited institution /A-I4-1--ffyefitr,Overtown Area located at the address / c2z2 - 421 V Applicant's: Phone number -786 g/6 06C-6 Cell phone 517517 -7 2-73 -. c-71 FAX Number E-mail /1-eei>c,.x Azr.--C;) 5'Cd ,5)41 B. Please provide a short statement of qualifications of the person you are recommending for appointment: /1(7 /i2 e_ -/--,9sy de clvA17:(-7 -714 (Pt._r ( S-71 Are; /77* /ILOPF C. P1e ppvide the following information for the purpose of clarifying the above. :"Phone number e-6,- 5c-1,-, Cell phone FAX number ,1(05— S rd 16214- E-mail D. Pease sign 1 gnature 705-,5ca Printed Name 0015 I 17 Da e FOR OFFICIAL USE ONLY: RECOMMENDED PERSON'S ADDRESS FNSIDE BOUNDARIES? Y N N/A RECOMMEND PERSON MEETS AGE REQUIREMENTS Y N NIA RECOMMENDED PERSON'S PROOF OF QUALIFICATION SUBIvII I 1 ED: ACCREDITED INSTITUTION INSIDE BOUNDARIES Y N NIA CITY OF MIAMI OVERTOWN ADVISORY BOARD/OVE.RTOWN COMMUNITY OVERSIGHT BOARD APPLICATION FORM FOR APPOINTED YOUTH MEMBERS (TO BE COMPLETED BY RECOMMENDER AND TO BE SUBMITTED BY 4:00 P.M. ON FRIDAY, DECEMBER I, 2006 TO THE OFFICE OF THE OVERTOWN NEIGHBORHOOD ENHANCEMENT TEAM (N.E.T.), AT 1490 N.W. 3" AVENUE:) OR THE OFFICE OF THE CITY CLERK AT 3500 PAN AMERICAN DRIVE. NOTE: A .PERSON MAY RECOMMEND HIM/HERSELF.) A. 1 recommend 1SErryeEOvertown Advisory Advisory Bolard/Overtown Community requirements because he/she is more than 14 years of of the following qualifications: 1. Resides in the Overtown Area at the address 2. Attends the accredited institution er.A(P‘7Ttc-1(241; located at the address iZeD /17, hi 44 Applicant's: Phone number 7,)_519...7 FAX Number for appointment as youth member of the Oversight Board. He/she meets the eligibility age and less than 19 years of age and also meets both , 'ord 4 in the Overtown Area ; and Cell phone E-mail c-y c6,/ahuo.ci B. Please provide a short statement of qualifications of the person you are recommending for appointment: ‘151 vo Crle tdelbr ()Ice t- 1 , LA r4•.-- I tj-1_,_ or r' 64A '. a 710/ [rah.), -0; -ry n _13 P of-74'r 'ou 74,5 7%s „ trk • 94_ 6,-. r 46_5 ,11 141 1> LIS AP ,p C -44 LI •44-‘15 v 4 -i - 741'11J J.CJ4310. ( n meld /1,11U ,j2) ' C. Please provide the following information for the purpose of clarifying the above. Phone number 766) 511-711( Ce11 phone 62) FAX number 5- D. Please sign here: 7/ Signature h:t1/1.0 V\ V\ k Printed Name/ Date Signed FOR OFFICIAL USE ONLY: RECOMMENDED PERSON'S ADDRESS INSIDE BOUNDARIES? Y N N/A RECOMMEND PERSON MEETS AGE REQUIREMENTS Y N NIA ; RECOMMENDED PERSON'S PROOF OF QUALIFICATION SUBMITTED: ACCREDITED INSTITUTION INSIDE BOUNDARIES Y N NIA CITY OF MIAMI OVERTOWN ADVISORY BOARD/OVERTOWN COMMUNITY OVERSIGHT BOARD APPLICATION FORM FOR APPOINTED YOUTH MEMBERS (TO BE COMPLETED BY RECOMMENDER AND TO BE SUBMITTED BY 4:00 P.M, ON FRIDAY, DECEMBER 1, 2006 TO THE OFFICE OF THE OVERTOWN NEIGHBORHOOD ENHANCEMENT TEAM (N.E.T.), AT 1490 N.W. 3" AVENUE:) OR THE OFFICE OF THE CITY CLERK AT 3500 PAN AMERICAN DRIVE. NOTE: A PERSON MAY RECOMMEND HIM/HERSELF.) A. I recomrnend Cat h Can) e-r)(70 for appointment as youth member of the Overtown Advisory I3oard/Overtown Community Oversight Board. He/she meets the eligibility requirements because he/she is more than 14 years of age and less than 19 years of age and also meets both of the following qualifications: 1. Resides in the Overtown Area at the address VV.X/0 2; and 2. Attends the accredited institution Tujach tc-flin the Overtown Area F located at the address 19C) 11/4,..)(k) Applicant's: Phone number) :::."?Cbt--1 Cell phone FAX Number & )i E-mail B. Please provide,a short statement of qualifications of the person you are recommending for appointment: C©i coon ( S Ury irti ,5-1-ucc cirt- Pot r4 o ( c.)49_,&3___12c„ etzt aeS5 CA He k clear-4- r cy e"---toLui -DP + r-1 Larni You-Vh Cc/36C( ksintry 4ioce C4i - Inas cal alapki,& ciati-ey coct- crA r_Jet EYS c1OL.A0 _6-4-1c3ryi • 1+0,_ 5 1/ C. Please provide the folio ing infwmation for the purpose of clarifying the above. Phone number / `k* Cell phone FAX number 9:Z- ciret E-mail;7Rrios-9 5-to ri ode -solo -is . c ct aiwilt. D. Please si/ ivNT S ignature Printed Name k FOR OFFICIAL USE ONLY: RECOMMENDED PERSON'S ADDRESS INSIDE BOUNDARIES? Y N N/A RECOMMEND PERSON MEETS AGE REQUIREMENTS Y N NIA RECOMMENDED PERSON'S PROOF OF QUALIFICATION SUI3MITTED: ACCREDITED INSTITUTION INSIDE BOUNDARIES Y N N/A